SWIFT RIVER PEDIATRICS EXAM SCRIPT
2026 QUESTIONS AND FULL SOLUTIONS
GRADED A+
⩥ Elijah Williams *. Answer: Knowledge deficit
⩥ Elijah Williams- Scenario 1. Answer: Ask the child and/or parent to
verify name/DOB
Ask the child to remove his shoes
Obtain a height and weight for the child
Provide the parent with a urine sample cup
Show the child and the parent to the room
⩥ Elijah Williams- Scenario 2. Answer: Allow the child and parent to go
to the restroom
Gather a health history from the mother
Obtain vital signs
Explain when the dr will arrive to the room
Take the urine sample to the lab
⩥ Elijah Williams- Scenario 3. Answer: Gather the materials needed for
the vision screening
,Conduct the vision screening with the child in the hallway
Ask the child and mother to return to the room
Prepare the educational materials
Prepare the vaccines ordered
⩥ Elijah Williams- Scenario 4. Answer: Evaluate the mother's
understanding of the material
Explain the child will be getting the MMRV, DTaP, and IPV
Assist the child into the correct position, obtaining assistance from other
staff if needed
Administer the vaccines
Allow the mother to comfort the child as needed
⩥ Elijah Williams- Scenario 5. Answer: Ensure the child is not having a
reaction
Provide documentation to the mother regarding today's vaccines
Remind the mother to call if she has any further questions or concerns
Provide the child with a sticker, with the mother's permission
Ask the mother to schedule the 5-year-old checkup before leaving
⩥ Baby Strickland *. Answer: Alteration in thermoregulation
Hypoglycemia
Ineffectual breathing pattern
,⩥ Baby Strickland *. Answer: Educational- increased
Health- increased
LOC- normal
Pain- normal
Psych- normal
Safety- increased
⩥ Baby Strickland- Scenario 1 *. Answer: Obtain heel stick blood
glucose level
Feed baby 1/2 ounce formula
Notify lab for confirmation blood glucose level
Recheck blood glucose in 45 minutes
Continue to monitor
⩥ Baby Strickland- Scenario 2 *. Answer: Position baby in
trendelenburg
Suction excessive secretions via bulb syringe and NG tube
Place under oxy hood at 40%
Initiate IV D5 1/4 NS at 6ml/hour
Reassess respiratory system
, ⩥ Baby Strickland- Scenario 3 *. Answer: Assess vital signs
Wrap baby in warm blanket and put hat on baby's head
Reassess temp in 15 minutes
Place baby in radiant warmer
Educate parents on neonatal heat loss
⩥ Baby Strickland- Scenario 4 *. Answer: Place infant in isolation
radiant warmer
Obtain ordered blood cultures
Initiate IV Ampicillin per MD order
Reassess blood glucose
OG feed infant 15 ml infant formula
⩥ Baby Strickland- Scenario 5 *. Answer: Place infant in triple
phototherapy isolette
Place protective eye shields over the baby's eyes
Initiate the phototherapy treatment
Feed infant every 2 1/2 hours
Document number of voids and stools per shift
⩥ Madelyn Harrison. Answer: Educational- increased
Health- increased
2026 QUESTIONS AND FULL SOLUTIONS
GRADED A+
⩥ Elijah Williams *. Answer: Knowledge deficit
⩥ Elijah Williams- Scenario 1. Answer: Ask the child and/or parent to
verify name/DOB
Ask the child to remove his shoes
Obtain a height and weight for the child
Provide the parent with a urine sample cup
Show the child and the parent to the room
⩥ Elijah Williams- Scenario 2. Answer: Allow the child and parent to go
to the restroom
Gather a health history from the mother
Obtain vital signs
Explain when the dr will arrive to the room
Take the urine sample to the lab
⩥ Elijah Williams- Scenario 3. Answer: Gather the materials needed for
the vision screening
,Conduct the vision screening with the child in the hallway
Ask the child and mother to return to the room
Prepare the educational materials
Prepare the vaccines ordered
⩥ Elijah Williams- Scenario 4. Answer: Evaluate the mother's
understanding of the material
Explain the child will be getting the MMRV, DTaP, and IPV
Assist the child into the correct position, obtaining assistance from other
staff if needed
Administer the vaccines
Allow the mother to comfort the child as needed
⩥ Elijah Williams- Scenario 5. Answer: Ensure the child is not having a
reaction
Provide documentation to the mother regarding today's vaccines
Remind the mother to call if she has any further questions or concerns
Provide the child with a sticker, with the mother's permission
Ask the mother to schedule the 5-year-old checkup before leaving
⩥ Baby Strickland *. Answer: Alteration in thermoregulation
Hypoglycemia
Ineffectual breathing pattern
,⩥ Baby Strickland *. Answer: Educational- increased
Health- increased
LOC- normal
Pain- normal
Psych- normal
Safety- increased
⩥ Baby Strickland- Scenario 1 *. Answer: Obtain heel stick blood
glucose level
Feed baby 1/2 ounce formula
Notify lab for confirmation blood glucose level
Recheck blood glucose in 45 minutes
Continue to monitor
⩥ Baby Strickland- Scenario 2 *. Answer: Position baby in
trendelenburg
Suction excessive secretions via bulb syringe and NG tube
Place under oxy hood at 40%
Initiate IV D5 1/4 NS at 6ml/hour
Reassess respiratory system
, ⩥ Baby Strickland- Scenario 3 *. Answer: Assess vital signs
Wrap baby in warm blanket and put hat on baby's head
Reassess temp in 15 minutes
Place baby in radiant warmer
Educate parents on neonatal heat loss
⩥ Baby Strickland- Scenario 4 *. Answer: Place infant in isolation
radiant warmer
Obtain ordered blood cultures
Initiate IV Ampicillin per MD order
Reassess blood glucose
OG feed infant 15 ml infant formula
⩥ Baby Strickland- Scenario 5 *. Answer: Place infant in triple
phototherapy isolette
Place protective eye shields over the baby's eyes
Initiate the phototherapy treatment
Feed infant every 2 1/2 hours
Document number of voids and stools per shift
⩥ Madelyn Harrison. Answer: Educational- increased
Health- increased
